Treat your pain and live a better life…

best-pain-doctor-nycWelcome to my blog about pain. Unfortunately, many people suffer from chronic pain. As a board certified physician in physical medicine and rehabilitation, my specialty is treating these people with both acute and chronic pain.

A majority of my practice is working with patients that are experiencing back and neck pain.

My goal with this blog is to help patients who are experiencing any type of back or neck pain to understand what is causing their pain and discuss options that are available to end their pain. I hope to be able to provide readers with a portal that they can can use to educate themselves and facilitate treatment.

My specialty is my Interventional Spine Skills including cervical and lumbar epidural steroid injections, facet injections, medial branch blocks, Radiofrequency ablation, sympathetic ganglion blocks, spinal cord stimulator trials, sacroiliac joint injection, piriformis muscle block and musculoskeletal joint injection. I also perform many other procedures to alleviate acute and chronic pain.

I hope you enjoy reading my blog as much as I enjoy writing it and observing people from all over the world reading it.

– Matthew Grimm, M.D.

Category Archives: Injections for Pain

Injections for Pain

Neck and back pains can become a source of discomfort, interrupting your daily routine. You may face some serious trouble in small activities like sitting, standing, or even walking. Back pains may grow down to arms or legs and may lead a person to disability.

Your neck and back muscles may strain because of a poor posture – especially when you are in front of a screen. Sometimes the pain gets better with time, but chronic pains may be excruciating. Doctor visits for pain management are common worldwide.

You may relieve the pain with exercise, over-the-counter pain relievers, therapies, or oral medications. However, your doctor may give you a shot to ease your pain and inflammation.

How do Injections Help?

Injecting shots is a non-surgical treatment. Injections may treat your acute or chronic spinal pain, providing relief. Doctors use injections for diagnosis as well as treatment purposes.

The doctors inject the suspected area with numbing drugs, such as anesthesia. If the patient experiences pain relief, it confirms that the specific joint, or part is the pain source.

Compared to oral medications, injections may provide instant relief in your inflammatory or damaged nerve. Injections also help in case of spinal stenosis –narrowing of the spine.

Common Pain Injections

For treating neck and back pains, doctors generally use therapeutic injections. The pain may stem from a facet joint, a spinal nerve, or an intervertebral disc. Here are some common pain reliever injections.

·      Epidural Steroid Injections

The injections contain corticosteroid; a common steroid; and a numbing drug. The shots help to reduce inflammation.

For Back Pain: The doctor injects the medicine in the epidural space – the area around the spinal cord.

For Neck Pain: The doctor injects the shot in the facet joint located in the cervical spine bones or neck muscles.

·      Selective Nerve Block Injections

Selective nerve blocks numb a specific spinal nerve. The doctors mostly inject lidocaine (common anesthesia) around the targeted nerve. The numbness provides instant relief from the pain and lasts for several hours.

·      Medial Branch Nerve Blocks

The physician deposits the medicine around medial spinal nerve branches. Medial branch nerve is responsible for sending pain signals from the arthritic facet joints to the brain. Medial branch nerve blocks can provide instant relief from neck pain. They may also comfort and ease the headaches stemmed from the neck.

·      Discography

Nerve blocking injections also serve as diagnostic injections sometimes. The doctors inject the shots to identify the root cause of back pain. Discography helps the physician to outline the best treatment. He may inject both a steroid and anesthetic drug in the epidural space of your spine or may choose another option.

·      Sacroiliac (SI) joint injections

There are two sacroiliac joints in our lower back on either side of the spine. These joints connect our lower spine and pelvis. A pain may stem from the lower back advancing to the buttock region. The pain triggers when inflammation of SI joint occurs. Sacroiliac joints injections provide relief for several months.

Some of the injections provide instant relief, while some become effective in a week or two. Depending upon the type of shot you have received, you may need to rest. Your doctor may ask you to limit your physical activity. The above mentioned and other injections help to strengthen your muscular system.

Bottom Line

Pain injections can help with acute and chronic Spinal and musculoskeletal pains. With proper pain management, you can prevent surgical intervention. Contact us today and book an appointment with Spine New York City for your spinal treatment.

Matthew Grimm, MD
646-862-5555

Spinal Injections for Back Pain

chronic-back-pain-medical-info-nyc-top-doctor-02Chronic back pain really is, well, a pain! Many people across the world deal with regular, chronic pain in their back. There are plenty of over-the-counter treatment solutions that may help. But in many cases, a spinal injection can be just the right thing to relieve your pain. but what are some of the causes for back pain? What can we do to remediate pain in the meantime? And how do spinal injections help?

Causes of Back Pain

Our back is one of the most frequently used parts of the body. Sitting, standing, leaning, twisting, bending, and lifting all require the key muscles in our back to activate and the specific spinal structures in our back to work properly. Over time, this constant use wears down the cartilaginous discs that cushion the space between our vertebrae. This leads to swelling, redness, and pain. Poor body mechanics and posture can also contribute to back pain. Completing the same tasks over and over, such as lifting boxes for moving or picking up objects off the floor, gradually wears down the structures in the back that are required for stability. Other conditions, including autoimmune disorders, can cause pain in the back in a similar fashion. In the unfortunate scenario of some kind of trauma, such as a car accident or other injury, the structures in the back can be severely affected, putting more pressure on the nervous system and causing pain.

What we can do About Back Pain

spinal-injections-for-back-pain-01Thankfully, there are things you can do right now to deal with your back pain. This includes simple, easy solutions like using ice packs or hot packs around the painful area. Good ergonomic techniques when used during strenuous activity can help prevent further degradation or trauma to the back. Stretching and strengthening the muscles in the back and associated areas can help support the parts of the back that are at risk for further damage. Over-the-counter pain relief medications may help to reduce swelling and pain in the affected areas temporarily. However, it must be noted that anyone these solutions only offer temporary relief. In order to really affect a lasting change, the root cause of the problem must be addressed.

How Spinal Injections can Help

different-parts-spine-for-pain-injections-diagram-03Spinal injections are a proven, beneficial way to reduce pain and swelling in the spine and back. In a spinal injection, a small amount of medication, typically a steroid or pain reliever, is injected into the painful region in the spine. This medication helps both with reducing pain and lowering swelling. For some people, these spinal injections help to relieve pain for years at a time. For others, the effects of these injections only last for a few days. Even when this is the case, the momentary relief can give you a head start on recovering from whatever caused your pain in the first place. For example, if you have a bulging disc in your back and receive a spinal injection for treatment, the swelling may go down to allow for stretching and strengthening of the surrounding area that brings the inflammation to a manageable level. At this point, more conservative treatments can be pursued and a long-term solution can be found.

Do you suffer from chronic back pain? Make an appointment with Dr. Grimm to find out if spinal injections may help you.